NPI 1679503924 · live from the CMS NPI Registry
Amanda L Fontaine, LMFT
Marriage & Family Therapist in Peace Dale, RI. National Provider Identifier 1679503924, active.
NPI record
| NPI | 1679503924 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 23 North Rd Ste A25, Peace Dale, RI 02879 |
| Practice phone | 401-487-7042 |
| Enumerated | July 3, 2006 |
| Last updated | January 22, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | MFT00098 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.